Assistant Professor / Lecturer • 2017 • Paper-II
Persistant , severe pain on the peritoneal region and presence of rectal tenesmus or bearing down efforts when extension occurs to the ischiorectal fossa with retention of urin are the symptoms of
A)
abdominal hematoma
B)
pelvic hematoma
C)
uretral hematoma
D)
cervical hematoma
The correct choice is pelvic hematoma.
Assistant Professor / Lecturer • 2017 • Paper-II
Ectopic pregnancy is best diagnosed by
A)
trans vaginal USG
B)
serial HCG
C)
X-ray
D)
none of these
Transvaginal ultrasound combined with beta-hCG is the key diagnostic approach; TVUS provides direct localization.
Assistant Professor / Lecturer • 2017 • Paper-II
In Breech presentation the following is true ?
A)
Fetal abnormality is more common in a breech baby
B)
Caesarean delivery is no safer for the term breech baby than vaginal breech birth.
C)
In breech presentation, labour is longer
D)
Breech presentation occurs in 10% of term deliverie
Breech presentation is associated with a higher incidence of fetal abnormality and complications.
Assistant Professor / Lecturer • 2017 • Paper-II
The current indications for screening for gestational diabetes is
A)
Previous history of IUGR
B)
Persistent glycosuria
C)
Family history of PCOS
D)
Oligohydramnios
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II
Prolapse of uterus occurs as a result of
A)
Weakening of the uterine walls
B)
Weakening of the bones
C)
Weakening of the pelvic musculature
D)
All of these
Loss of pelvic-floor support is the major mechanism of uterine prolapse.
Assistant Professor / Lecturer • 2017 • Paper-II
What happens to GFR in case of pre-eclampsia
A)
GFR decreases
B)
GFR increases
C)
Remains same
D)
None of these
Magnesium sulfate is the preferred anticonvulsant and has fewer fetal/neonatal adverse effects than diazepam or barbiturates.
Assistant Professor / Lecturer • 2017 • Paper-II
The complications of multiple pregnanc is :
A)
First trimester miscarriage is more common in multiple pregnancy, but late miscarriage is not
B)
In twin–twin transfusion syndrome, with optimal treatment, survival of both twins occurs in 85%.
C)
Childhood handicap is more common with twins.
D)
In the majority of pregnancies, the presenting twin is breech
Neurodevelopmental and childhood disability is more common in twins than singletons, especially with prematurity.
Assistant Professor / Lecturer • 2017 • Paper-II
Injection glucogen is effective for management of persistant hypoglycemia in all except
A)
lage for date baby
B)
galactosemia
C)
infant of diabetic mother
D)
nesidioblastosis
The selected option is the exception/incorrect statement: galactosemia.
Assistant Professor / Lecturer • 2017 • Paper-II
Which is the risk factor for pre-eclampsia?
A)
Multiparity
B)
Advanced maternal age
C)
Smoking
D)
None of these
Advanced maternal age is a recognized risk factor.
Assistant Professor / Lecturer • 2017 • Paper-II
Pregnant woman is found to have excessive accumulation of amniotic fluid .Such polyhydramnios is likely to be associated with all the following conditions except
A)
twining
B)
microanecephaly
C)
oesophageal atresia
D)
bilateral renal agenesis
Bilateral renal agenesis causes oligohydramnios because fetal urine production is absent, so it is the exception.
Assistant Professor / Lecturer • 2017 • Paper-II
Among the following drugs the one most commonly used to reduce the blood loss in the management of postpartum heamoraghe is
A)
oxytocin
B)
methergin
C)
prostaglandins
D)
progesterone
The correct choice is oxytocin.
Assistant Professor / Lecturer • 2017 • Paper-II
The latest complication of injuries to the birth canal at the cervix is
A)
ectropion
B)
cellulitis
C)
superlevator
D)
thrombophelbitis
Injury-related cervical trauma can lead to later complications such as cervical ectropion/cervical healing changes; the listed late complication is thrombophlebitis in the intended answer set.
Assistant Professor / Lecturer • 2017 • Paper-II
The finding related to Types of multiple pregnancy is
A)
Dichorionic twins result from division at 9–13 days
B)
Division before day 3 leads to twins with a shared placenta but separate amnions, MCDA.
C)
All dichorionic twins are non-identical.
D)
Monochorionic twins are always identical.
Monochorionic twins arise from a single zygote and are therefore monozygotic/identical; chorionicity depends on timing of embryo division.
Assistant Professor / Lecturer • 2017 • Paper-II
The risks involved in prolonged retention of placenta are
A)
hemarrahge
B)
shock
C)
risk of its recurrence in next pregnancy
D)
all of these
Retained placenta can cause severe haemorrhage and shock; recurrent retention risk may also be increased.
Assistant Professor / Lecturer • 2017 • Paper-II
Methods used in identification of high-risk pregnancy:
A)
Use of history as a screening tool in identification of high-risk pregnancy is very sensitive
B)
Use of history as a screening tool in identification of high-risk pregnancy is specific.
C)
The uterine circulation normally develops a very high resistance in normal pregnancy
D)
Low levels of pregnancy-associated plasma protein A (PAPP-A) increase the risk of IUGR, pre-eclampsia and stillbirth
Low PAPP-A is associated with adverse placental outcomes including IUGR, pre-eclampsia and stillbirth.
Assistant Professor / Lecturer • 2017 • Paper-II
The Uterine rupture and inversion of uterus is
A)
The principal risk factor for uterine rupture is use of oxytocin in multiparous wo men
B)
Constant lower abdominal pain in labour is common and unlikely to be related to uterine rupt ure.
C)
Rupture of a LSCS scar most commonly occurs before labour.
D)
Uterine inversion usually follows traction on the placenta and occurs in 1 in 20 000 deliveries.
Uterine inversion classically follows excessive traction on the umbilical cord/placenta after delivery.
Assistant Professor / Lecturer • 2017 • Paper-II
A 20 year old lady is referred with a problem of postcoital bleeding .It has occour six times over past two month with no pain in association . The investigation which she has to undergo is
A)
colposcopy
B)
ultrasonography
C)
cervical smear
D)
none of these
Persistent postcoital bleeding requires cervical assessment, commonly with colposcopy.
Assistant Professor / Lecturer • 2017 • Paper-II
A 48 year old woman presents with intermenstrural bleeding for two month and episodes of bleeding occuring any time in the cycle .there is no associated pain . the differential diagnosis for intermenstrual bleeding does not include :
A)
endocervical polyp
B)
cervical malignancy
C)
endometrial polyp
D)
ovarian teratoma
An ovarian teratoma is not a typical direct cause of intermenstrual uterine bleeding.
Assistant Professor / Lecturer • 2017 • Paper-II
The placenta is said to be retained when it is not expelled out even after
A)
20minutes
B)
30 minutes
C)
40 minutes
D)
50 minutes and above
The selected option is the exception/incorrect statement: 30 minutes.
Assistant Professor / Lecturer • 2017 • Paper-II
Hypertensive disorders in pregnancy: which of the following is true?
A)
‘Significant’ proteinuria is e”0.3 g/24 h.
B)
When blood pressure is >140/90 mmHg prior to 20 weeks’ pregnancy induced hypertension is the likely diagnosis.
C)
A protein : creatinine ratio >10 mg/nmol is considered significant
D)
None of these
The correct choice is ‘Significant’ proteinuria is e”0.3 g/24 h..
Assistant Professor / Lecturer • 2017 • Paper-II
A day care nurse is observing a 2-year-old child and suspects that the child may have strabismus. Which observation made by the nurse might indicate this condition?
A)
The child has difficulty hearing.
B)
The child consistently tilts the head to see.
C)
The child consistently turns the head to see.
D)
The child does not respond when spoken to
In DIC, PT and aPTT are prolonged and thrombocytopenia develops; PCV is not a coagulation test.
Assistant Professor / Lecturer • 2017 • Paper-II
The nurse is called to the room of a client experiencing a tonic-clonic seizure. Which action would the nurse perform first?
A)
Loosen restrictive clothing
B)
Turn the client to the side-lying position
C)
Ensure patency of the client’s airway
D)
Document the sequence of the client’s movements
The correct choice is Ensure patency of the client’s airway.
Assistant Professor / Lecturer • 2017 • Paper-II
What is your first action after a shock is delivered?
A)
Wait for the AED to analyze the patient
B)
Check pulse
C)
Clear the patient.
D)
Begin CPR
The correct choice is Begin CPR.
Assistant Professor / Lecturer • 2017 • Paper-II
Most common premalignant oral lesion is :
A)
Leukoplekia
B)
Submucus fibrosis
C)
Oral lichen planus
D)
Oral hairy leukoplakia
The correct choice is Leukoplekia.
Assistant Professor / Lecturer • 2017 • Paper-II
In which type of lung Cancer is Gynecomastia common:
A)
Small cell
B)
Large cell.
C)
Epidermoid
D)
Adeno Ca
The correct choice is Small cell.
